REGISTRATION

Registration Details

To begin the enrollment process, please complete the Family Registration Form below. Once your registration form has been processed and we’ve determined there is space in the program for your child, you will be added to our Brightwheel system, through which you will pay the registration fees. Registration fees are $50 for the summer session and $100 for the school year. The summer session registration fee will be waived if the child is also registering for the 2023-2024 school year. A child will be considered registered once the registration fee has been received. Registration fees are non-refundable.

Family Registration Form

**All fields are required in order to be submitted.**

Name of Parent/Guardian #1

Email of Parent/Guardian #1

Phone Number of Parent/Guardian #1

Home Address (including city and zip code) of Parent/Guardian #1

Name of Parent/Guardian #2

Email of Parent/Guardian #2

Phone Number of Parent/Guardian #2

Home Address (including city and zip code) of Parent/Guardian #2

Name of Child #1

Birthdate of Child #1

For which sessions would you like to register Child #1? For which sessions would you like to register Child #1? Immediate Enrollment (Spring 2022) Summer 2023 Only 2023-2024 School Year Only Summer 2023 AND 2023-2024 School Year As Needed

Which days of the week will Child #1 need care? Which days of the week will Child #1 need care? Monday Tuesday Wednesday Thursday Friday As Needed

What time will Child #1 typically arrive each day?

What time will Child #1 typically leave each day?

Notes about Child #1

Do you have a second child to register? Do you have a second child to register? Yes No

Name of Child #2

Birthdate of Child #2

For which sessions would you like to register Child #2? For which sessions would you like to register Child #2? Immediate Enrollment (Spring 2022) Summer 2023 Only 2023-2024 School Year Only Summer 2023 AND 2023-2024 School Year As Needed

Which days of the week will Child #2 need care? Which days of the week will Child #2 need care? Monday Tuesday Wednesday Thursday Friday As Needed

What time will Child #2 typically arrive each day?

What time will Child #2 typically leave each day?

Notes about Child #2

Do you have a third child to register? Do you have a third child to register? Yes No

Name of Child #3

Birthdate of Child #3

For which sessions would you like to register Child #3? For which sessions would you like to register Child #3? Immediate Enrollment (Spring 2022) Summer 2023 Only 2023-2024 School Year Only Summer 2023 AND 2023-2024 School Year As Needed

Which days of the week will Child #3 need care? Which days of the week will Child #3 need care? Monday Tuesday Wednesday Thursday Friday As Needed

What time will Child #3 typically arrive each day?

What time will Child #3 typically leave each day?

Notes about Child #3

Do you have a fourth child to register? Do you have a fourth child to register? Yes No

Name of Child #4

Birthdate of Child #4

For which sessions would you like to register Child #4? For which sessions would you like to register Child #4? Summer 2023 Only 2023-2024 School Year Only Summer 2023 AND 2023-2024 School Year As Needed

Which days of the week will Child #4 need care? Which days of the week will Child #4 need care? Monday Tuesday Wednesday Thursday Friday As Needed

What time will Child #4 typically arrive each day?

What time will Child #4 typically leave each day?

Notes about Child #4

Do you have a fifth child to register? Do you have a fifth child to register? Yes No

Name of Child #5

Birthdate of Child #5

For which sessions would you like to register Child #5? For which sessions would you like to register Child #5? Summer 2023 Only 2023-2024 School Year Only Summer 2023 AND 2023-2024 School Year As Needed

Which days of the week will Child #5 need care? Which days of the week will Child #5 need care? Monday Tuesday Wednesday Thursday Friday As Needed

What time will Child #5 typically arrive each day?

What time will Child #5 typically leave each day?

Notes about Child #5

10 + 14 =

REMEMBER:

Registration fees for all children must be received before they are officially registered. Once your registration form has been processed and we’ve determined there is space in the program for your child, you will be sent an email invitation to join our Brightwheel system, through which you will pay the registration fee.

Join Our Updates!

Stay up to date on all things happening at The Elementary by subscribing to our email updates!

Helpful Links

Policies
Employment

Contact Us

Submit A Message
(765) 371-2044
207 N Wabash Avenue
LaFontaine, IN 46940